Individual provider Active NPI

Vildan A Meleca, APN

  • Family Nurse Practitioner
  • Blacklick, OH
National Provider Identifier
1326515602
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023852 Issued in OH
Practice address
1680 Eagle Glen Dr
Blacklick, OH 43004-4300
Phone
(614) 496-2106
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 023852 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.023852 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.023852 OH Primary

Addresses

Primary practice location

1680 Eagle Glen Dr
Blacklick, OH 43004-4300

Mailing address

1680 Eagle Glen Dr
Blacklick, OH 43004-9622
Phone (614) 496-2106

Other names 1

  • Vildan A Meleca Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624002887 OH Practitioner - Nurse Practitioner 6002140126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riveon Mental Health and RecoveryGroup PAC ID 1557312535, 30 clinicians

Practice addresses (Care Compare)

6140 S Broadway
Lorain, OH 44053-3821
Phone (440) 233-7232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023852OHMDFamily Nurse Practitioner
APRN.CNP.023852OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioguidestone CurrentSince Nov 10, 2019 Accepting new patients
Riveon Mental Health and Recovery CurrentSince Jan 27, 2026 Accepting new patients
Ohioguidestone Current Accepting new patients
Ohioguidestone CurrentSince Nov 10, 2019 Accepting new patients
Michael J. Meleca, MD, LLC Current Accepting new patients
Signify Health, LLC CurrentSince Jan 1, 2022 Accepting new patients
Riveon Mental Health and Recovery CurrentSince Jan 27, 2026 Accepting new patients

Locations

202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327

3500 Carnegie Ave
Cleveland, OH 44115
Phone (440) 260-8327

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

2652 Kull Rd
Lancaster, OH 43130
Phone (740) 277-6733

6140 S Broadway
Lorain, OH 44053
Phone (440) 233-7232

2173 N Ridge Rd E
Ste E
Lorain, OH 44055
Phone (440) 260-6100

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1326515602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 EAGLE GLEN DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049622",
            "telephone_number": "614-496-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 EAGLE GLEN DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430044300",
            "telephone_number": "614-496-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELECA",
        "first_name": "VILDAN",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "023852",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.023852",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VILDAN",
            "last_name": "MELECA",
            "middle_name": "A",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Blacklick, OH

Sources for this page

Verify at the official NPI Registry.